Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Aaron Phelan, RN

Individual provider Registered Nurse · NPI 1457879975

Mark Aaron Phelan, RN is a Registered Nurse in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

779 S Tennyson Way
Boise, ID 83709
Phone: (208) 724-1829
Fax: (208) 724-1829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence N-29179 (ID)

Record details

NPI number1457879975
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedSeptember 5, 2017
Last updated in NPPESJuly 21, 2022
Mailing address779 S Tennyson Way, Boise, ID 83709-7738

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